Provider Demographics
NPI:1871901801
Name:GARDEN STATE COUNSELING, INC
Entity type:Organization
Organization Name:GARDEN STATE COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FERHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NADEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-839-1880
Mailing Address - Street 1:506 HAMBURG TPKE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2068
Mailing Address - Country:US
Mailing Address - Phone:631-839-1880
Mailing Address - Fax:
Practice Address - Street 1:506 HAMBURG TPKE
Practice Address - Street 2:SUITE 209
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2068
Practice Address - Country:US
Practice Address - Phone:631-839-1880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty